HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: (�
DATE FILED.
PLAN REVIEW FEE: RE NO.: PERMIT NUMBER
CONCURRENCY FEE. RECEIPT NO.: CERT. CAP. NO.:
2.
3.
4.
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ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
SCANNE® Ft. Pierce, FL 34982-5652
BY 772-462-1553
St. Lucie room,
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: ) (n-o I S. 0&wy. Lo { b 0)
PROJECT NAME: t1 SITE PLAN NAME:
PROPERTY TAX ID#: ``S1(— i013— bb6(-- 660-5L
LEGAL DESCRIPTION (attach extra sheets if necessary): U jj& rr_ 6 LNA
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO
9
10.
PARCEL SIZE ( RE /SQ FT.):
6.o4 LOT DIMENSIONS:
8. LOT NO.
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK
ACTIVITY: n3 5,
A 1. J in (� to ) t +kl to 1 Ct U P-t— 1 ,q ( P i-D 1 wN-2 i- tZ� (� (1 � OV i l
11. SETBACKS (ACTUAL) FRONT: J — BACK: RIGHT SIDE: / t LEFT SIDE:k
fir-
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[at] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: S I V� I e fc(1'►'1 1
14.
16.
SQ. FT OF CONSTRUCTION: P I A 15. SF. FT 1 st FLOOR: ("
1
VALUE OF CONSTRUCTION: $ 1450V(� � D/
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION
NAME: e le A r V l -. u.r
ADDRESS: l 0 —+V 1 S .O G�� ► - ,Lot 666
CITY: i3-Gc"C-k STATE: EL ZIP: 3 5(q,�4L
PHONE (DAYTIME): Cft 4'50 — c` -q-9 Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER -
CITY:
PHONE (DAYTIME): (_ )
STATE:
ZIP:
CONTRACTOR INFORMATION Z
ST. of FL REG.CERT #: C—%--C S } y 3 ST. LUCIE COUNTY CERT #: I�
BUSINESS NAME: IA),/i�l C O
QUALIFIERS NAME: Q- W% I l
ADDRESS: 46 775- N. US I ,, // //
CITY: � . Ri {.'(C 2. STATE: 'FL- ZIP: �ic1 `�lo
PHONE (DAYTIME): 02 )) U (� FAX NO. Email:
ARCHIVENGINEER t—&tKV I/J 2 ( Ck , V
ADDRESS: Iq 0 4 B% I+M o re,
CITY: Pb r± 9 . Luc to
PHONE (DAYTIlVIE): C?;D —�-gs-- 9
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER -
ADDRESS:
CITY:
STATE: C-L-- ZIP:
STATE: ZIP:
STATE:
ZIP:
11
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLOJUDA
COUNTY OF (_kt ,
The foregoing instrument was acknowledged before
me this day of 20_a ,
by �• VV���I�l 1 N
who is personally known Vor has produced
Signature of Notary
Commission
as identification.
DAWN FUZGERALD
MY COMMISSION # DD 944417
MY RES: December 13, 2013
nded Thru Notary Public Underwriters
CONTRACTOR SIGNATURE
STATE OF FLO A -
COUNTY OF a 9
The foregoing
11 instrument was acknowledged before
me this l day of ff)C20
by r,`UUu I f,Y1S
who is personally known V or has produced
as identification.
DQ� 0— ... k �1�
Signature of Notary +;6y ,
--- ------
DAWN FITZGERAID
*;
MY COMMISSION # DD 944417
Commission No. a '; ., �;�
EXYif"ecember 13, 2013
Bonde
8 w..
rru l ary Public Underwriters
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
11T FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
_
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
y
DATE
COMPLETED
INITIALS
Planning & Development Services
Building & Code Regulation Division
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PROPERTY INFORMATION
Address: 10701 OCEAN DR 660
City / State / Zip: JENSEN BEACH
Parcel # : 4511-805-0061-000/7
Zoning: HIRD
APPLICATION INFORMATION
Permit Number: 1205-0275
Activity Type: Other
Permit Type: Building (Miscellaneous)
CONTRACTOR INFORMATION
Contractor Name: WILLIAMS, RONALD B
Business Name: WILCO CONSTRUCTION INC
Business Addr: 4675 N US 1
City / State / Zir FT PIERCE, FL 34946
REVIEWS AND COMMENTS
Review Type Status
Environmental Review Pending
Front Counter Review Complete
To Be Reviewed by Zoning Complete
Review Comments
FL 34957
Jurisdiction: St. Lucie County
Lot # : 61 Block:
Page 1
Owner(s):
STEVEN MAZUR
Application Type: Building Permit w/o subs
Other Activity: SEAWALL
Stories: 1 Automatic Sprinkler System?
Fax Number 772-460-6929
Reviewed By
Angela Huff
Irvie Saunders
To Be Review by Plans Exan Complete Ken Arnold
Zoning Review Incomplete Irvie Saunders
06/11/2012 1 Comment waiting for environmental dep to review
Date Started Date Complete Date Released
06/21/2012
06/11/2012 06/11/2012
06/13/2012 06/13/2012
06/11/2012
Planning & Development Services
Building & Code Regulation Division
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
THIS IS NOT A RECEIPT
Permit Number: SLC- 1205-0275
Contacts: Property Owner
Contractor
Job Address: 10701 OCEAN DR 660
Fee Description:
Payment Slip
Permit Date: 13 June 2012
STEVEN MAZUR
Fax
WILLIAMS, RONALD B
Fax
BIMS651
06-BIMS
BPSur949
06-BP Surcharge - Permi714 - Resid
& Comm Renovations $2601 plus
BPTru1008
06-BP Trust Surcharge - Permi714 -
Resid & Comm Renovations $2501
plus
ERDDo876
06-ERD-Dock or Marine Review (1
to 3)
Permi714
06-Permit Fee - Resid & Comm
Renovations $2501 plus
Building (Miscellaneous)
(401)450-9278
(772) 460-6928
(772) 460-6929
Amount Due:
$5.00
$4.50
$4.50
$50.00
$300.00
Total Unpaid Fees: $ 364.00
To check the status of your permit, day or night, use our on-line program:
http://gis.stlucieco.gov/permits/ Copy and paste this in your internet browser and add it
your favorites.
Florida Department of
Environmental Protection
Southeast District Office
400 N. Congress Avenue, Suite 200
Rest Palm Beach, FL 33401
561-681-6600
Steven Mazur
10701 S. Ocean Drive, Lot 660
Jensen Beach, FL 34957
Re: File No.: 56-0311484-001
File Name: Mazur, Steven
Dear Mr. Mazur:
.&' S -
lva.4,. �,Gt3�a
U.. R.Jo v Y`dtM
Hensel-ml't'_ Vinyard Jr.
Seorel a.
On April 24, 2012, we received your application for an exemption to perform the
following activities: 1) replace an existing 35-linear foot seawall with a new seawall and
king piles within one -foot waterward (wetface-to-wetface) of the existing seawall and 2)
install three batter piles. The project is located in a manmade canal, Glass III Waters,
adjacent to 10701 S. ocean Drive, Lot 660, Jensen Beach (Section 11, Township 37 South,
Range 41 East), in St. Lucie County (27' 16' 1.97" North Latitude, 80' 12' 32.08" West
Longitude).
Your application has been reviewed to determine whether it qualifies for any of three
kinds of authorization that may be necessary for works in wetlands or waters of the
United States. The kinds of authorization are (1) regulatory authorization, (2)
proprietary authorization (related to state-owned submerged lands), and. (3) federal
authorization (State Programmatic General Permit). The authority for review and the
outcomes of the reviews are listed below. Please read each section carefully. Your
projects may not have qualified for all three forms of authorization. If your projects did
not qualify for one or more of the authorizations, refer to the specific section dealing
with that authorization for advice on how to obtain it.
1. Regulatory Review. -VERIFIED
The Department has reviewed the submitted information and has determined that the
projects are not expected to cause the release of pollutants in sufficient quantity, quality,
content, or character with respect W. the circumstances surrounding the location, use,
and operation of the project, as to contribute to pollution in contravention of the
provisions of Chapters 373 and 403, Florida Statutes (F.S.), or Title 62, Florida
Administrative Code (F.A.C.).
Therefore, based solely upon the documents submitted to the Department, the project to
install three batter piles has been determined to qualify as an activity that is exempt
File Name: Mazur, Steven
FDEP File No.: 56-0311484 001
Page 2 of 5
from the need for an environmental resource permit pursuant to Chapter 373.406(6),
F.S.
Based on the information you submitted, we have determined that your project to
replace an existing 354inear foot seawall with a new seawall and king piles within one -
foot waterward (wet#ace-to-wetface) of the existing seawall is exempt from the need to
obtain a DEP Environmental Resource Permit under Rule 40E-4.051(4)(b),F.A.C.
This determination is applicable only pursuant to the statutes and rules in effect at the
time the information was submitted. This determination may not be valid in the event
subsequent changes occur in the applicable statutes and rules of the Department.
Pursuant to Rule 62-302, F.A.C., activities that qualify for this exemption must be
constructed and operated using appropriate best management practices and in a
manner that does not cause water quality violations.
The determination that your project qualifies as an exempt activity pursuant to Chapter
373.406(6), F.S, may be revoked if the installation is substantially modified, or if the
basis for the exemption is determined to be materially incorrect, or if the installation
results in water quality violations. Any changes made in the construction plans or
location of the projects may necessitate a permit or certification from the Department.
Therefore, you are advised to contact the Department before beginning the projects and
before beginning any work in waters or wetlands which is not specifically described in
your submittal.
2. Proprietary_Review. -NOT REQUIRED
The Department acts as staff to the Board of Trustees of the Internal Improvement Trust
Fund (Board of Trustees) and issues certain authorizations for the use of sovereignty
submerged lands. The Department has the authority to review your project under
Chapters 253 and 258, F.S., and 18-21, F.A.C., and Section 62 343.075, F.A.C.
Your project will not occur on sovereignty submerged land. Therefore, pursuant to
Chapter 253.77, F.S., authorization from the Board of Trustees is not required.
3. Federal Review (SPGP) -GRANTED
Federal authorization for the proposed projects is reviewed by DEP pursuant to an
agreement between the Department and the U.S. Army Corps of Engineers (Corps).
The agreement is outlined in a document titled Coordination Agreement Between the U.S.
Army Corps of Engineers and the Florida Department of Environmental Protection State
Programmatic General Permit, Section 10 of the Rivers and Harbor Act of 1899 and Section 404
of the Clean Water Act.
File Name: Mawr, Sbeeven
FDEP File No.: 56-031148"1
Page 3 of 5
Your project has been reviewed for compliance with a State Programmatic General
Permit (SPGP). As shown on the attached drawings, the proposed project is consistent
with the SPGP program. The attached Corps general conditions apply to your project.
No further permitting for this activity is required by the Corps.
This exemption verification is based on the information you provided the Department
and the statutes and rules in effect when the information was submitted. This
verification will expire after one year, and will not be valid at any other time if site
conditions materially change, the project design is modified, or the statutes or rules
governing the exempt activity are amended. However, the activity may still be
conducted without further notification to or verification from the Department after the
one-year expiration of this verification, provided:1) the project design does not change;
2) site conditions do not materially change, and 3) there are no changes to the statutes or
rules governing the exempt activity. In the event you need to re -verify the exempt
status for the activity after the one-year expiration of this verification, a new application
and verification fee will be required. Any substantial modifications to the project
design should be submitted to the Department for review, as changes may result in a
permit being required. Conditions of compliance with the regulatory exemption are
contained in Attachment A.
This letter does not relieve you from the responsibility of obtaining other permits
(federal, state, or local) that may be required for the projects.
NOTICE OF RIGHTS OF SUBSTANTIALLY AFFECTED PERSONS
This letter acknowledges that the proposed activity is exempt from ERP permitting�
requirements under Chapter 373.406(6), F.S. and Rule 40114.0514 , F.A.C. This
determination is final and effective on the date filed with the Clerk of the Department
unless a sufficient petition for an administrative hearing is timely filed under sections
120.569 and 120.57 of the Florida Statutes as provided below. If a sufficient petition for
an administrative hearing is timely filed, this determination automatically becomes only
proposed agency action subject to the result of the administrative review process.
Therefore, on the filing of a timely and sufficient petition, this action will not be final
and effective until further order of the Department. The procedures for petitioning for a
hearing are set forth in the attached notice.
This determination is based on the information you provided the Department and the
statutes and rules in effect when the application was submitted and is effective only for
the specific activity proposed. This determination- shall automatically expire if site
conditions materially change or the governing statutes or rules are amended. In
addition, any substantial mod' ' m 0 1 s e submitted to the
File Name: Mazur, Steven
FDEP File No.: 56-0311484-001
Page 4 of 5
Department for review, as changes may result in a permit being required. In any event,
this determination shall expire after one year.
Be advised that your neighbors and other parties who may be substantially affected by
the proposed activity allowed under this determination of exemption have a right to
request an administrative hearing on the Department's decision that the proposed
activity qualifies for this exemption. Because the administrative hearing process is
designed to redetermine final agency action on the application, the filing of a petition
for an administrative hearing may result in a final determination that the proposed
activities are not authorized under the exemption established under Chapter 373.406(6),
F.S. and Rule 40&4.051(4)(b),F.A.C.
The Department will not publish notice of this determination. Publication of this notice
by you is optional and is not required for you to proceed. However, in the event that an
administrative hearing is held and the Department`s determination is reversed,
proceeding with the proposed activity before the time period for requesting an
administrative hearing has expired would mean that the activity was conducted
without the required permit.
If you wish to limit the time within which all substantially affected persons may request
an administrative hearing, you may elect to publish, at your own expense, the enclosed
notice (Attachment A) in the legal advertisement section of a newspaper of general
circulation in the county where the activity, is to take place. A single publication will
suffice.
If you wish to limit the time within which any specific person(s) may request an
administrative hearing, you may provide such person(s), by certified mail, a copy of
this determination, including Attachment A.
For the purposes of publication, a newspaper of general circulation means a newspaper
meeting the requirements of sections 50.011 and 50.031 of the Florida Statutes. In the
event you do publish this notice, within seven days of publication, you must provide to
the following address proof of publication issued by the newspaper as provided in
section 50.051 of the Florida Statutes. If you provide direct written notice to any person
as noted above, you must provide to the following address a copy of the direct written
notice.
Florida Department of Environmental Protection
Southeast District
Submerged Lands and Environmental Resources Program
400 North Congress Avenue Suite 200
lim
West Palm Beach, Florida �MLE COPY
File Name: Mazur, Steven
FDEP File No.: 56-0311484-001
Page 5 of 5
If you have any questions, please contact Irene Arpayoglou at (561) 681-6641 or by
email at Irene.Arpayoglou@dep.state.fl.us. When referring to your project, please use
the FDEP file name and.number listed above.
Sincerely,
. � 9 - ab
Z..
M. 10 Date
Environmental Manager
Submerged Lands and Environmental Resources Program
Enclosures
cc: Linda Petz Environmental Consulting► LLQ linenviron®yahoo.com
FILING AND ACKi. OwLEDGMEN'T'
FILED, on this date, pursuant to 120.52(9),
Florida Statutes, with the designated Department
Clerk, eipt o w heeby acknoi .A
wledged.
?V e
6`
Clerk Date /
Attachment A File No.: 56-0311484-001
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
NOTICE OF DETERMINATION OF E)GWl7ON
The Department of Environmental Protection gives notice that the project to replace an existing 35-linear foot seawall
with a new seawall and king piles within one -foot waterward. (wetface-)0-wetface) of the existing seawall and inStall three
batter piles, located in a manmade canal, Class III Waters, adjacent to 10701 S. Ocean Drive, Lot 660, Jensen Beach (Section 11,
Township 37 South, Range 41 East), in St. Lucie County (27° 16' 1.97" North Latitude, 8W 12' 32.08" West Longitude) has been
determined to be exempt from requirements to obtain an environmental resource permit.
A person whose substantial interests are affected by the Department's action may petition for an administrative
proceeding (hearing) under sections 120.569 and 1M.57 of the Florida Statutes. The petition must contain the information set
forth below and must be filed (received by the clerk) in the Office of General Counsel of the Department at 3900 Commonwealth
Boulevard, Marl Station 35, Tallahassee, Florida 32399-3000.
Mediation Is not available.
If a timely and sufficient petition for an administrative hearing is filed, other persons whose substantial interests will
be affected by the outcome of the administrative process have the right to petition to intervene in the proceeding: Intervention
will be permitted only at the discretion of the presiding officer upon the filing of a motion in compliance with rule 28-106.205 of
the Florida Administrative Code.
In accordance with rule 62110.106(3), F.A.C., petitions for an administrative hearing must be filed within 21 days of
publication of the notice or receipt of written notice, whichever occurs first Under rule 62-110.106(4) of the Florida
Administrative Code, a person whose substantial interests are affected by the Departments action may also request an
extension of time to file a petition for an administrative hearing. The Department may, for good cause shown, grant the request
for an extension of time. Requests for extension of time must be filed with the Office of General Counsel of the Department at
3900 Commonwealth Boulevard, Mail Station 35, Tallahassee,, Florida 32399-M prior to the applicable deadline. A timely
request for extension of time shall toll the running of the time period for filing a petition until the request is acted upon. Upon
motion by the requesting party showing that the failure to file a request for an extension of time before the deadline was the
result of excusable neglects the Department may also grant the requested extension of time.
The petitioner shall mail a copy of the petition to the applicant at the address indicated above at the time of filing. The
failure of any person to file a petition for an administrative hearing within the appropriate time period shall constitute a waiver
of that right.
A petition that disputes the material facts onNd
D ent a fain the following
information
(a) The name and address of each agency s n er, if known;
(b) The name, address; and telephone number of the petitioner; the name, address, and telephone number of the
petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; and an
explanation of how the petitioner's substantial interests are or will be affected by the agency determination;
(c) A statement of when and how the petitioner received notice of the agency decision;
(d) A statement of all disputed issues of material fact If there are none, the petition must so indicate;
(e) A concise statement of the ultimate facts alleged, including the specific facts the petitioner contends warrant
reversal or modification of the agency's proposed action;
(f) A statement of the specific rules or statutes that the petitioner contends require reversal or modification of the
agency's proposed action; and
(g) A statement of the relief sought by the petitioner, stating precisely the action that the petitioner wishes the agency
to take with respect to the agency's proposed action.
A petition that does not dispute the material facts on which the Department's action is based shall state that no such
facts are in dispute and otherwise shall contain the same information as set forth above, as required by rule 28-106.301.
Under sections 120.569(2)(c) and (d) of the Florida Statutes, a petition for administrative hearing shall be dismissed by
the agency if the petition does not substantially comply with the above requirements or is untimely filed.
Complete copies of all documents relating to this determination of exemption are available for public inspection
during normal business hours, 8:00 a.m. to 5:00 pan., Monday through Friday, at the Southeast District office, 400 North
Congress Avenue, West Palm Beach, Florida.
GENERAL CONDITIONS FOR FEDERAL AUTHORIZATION FOR SPGP IV-R1
1. The time limit for completing the work authorized ends on July 25, 2016.
2. You must maintain the activity authorized by this permit in good condition and in conformance with the
terms and conditions of this permit. You are not relieved of this requirement if you abandon the permitted
activity, although you may make a good faith transfer to a third party in compliance with General
Condition 4 below. Should you wish to cease to maintain the authorized activity or should you desire to
abandon it without a good faith transfer, you must obtain a modification of this permit from this office,
which may require restoration of the area.
3. if you discover any previously unknown historic or archeological remains while accomplishing the
activity authorized by this permit, you must immediately notify this office of what you have found. We will
Initiate the Federal and State coordination required to determine if the remains warrant a recovery effort
or If the site Is eligible for listing in the National Register of Historic Places.
4. If you sell the property associated with this permit, you must obtain the signature and mailing address
of the new owner in the space provided below and forward a copy of the permit to this office to validate
the transfer of this authorization.
5. If a conditioned water quality certification has been issued for your project, you must comply with the
conditions specified in the certification as special conditions to this permit.
6. You must allow representatives from this office to inspect the authorized activity at any time deemed
necessary to ensure that,it is being or has been accomplished in accordance with the terms and
conditions of your permit.
Further Information:
1. Limits of this authorization.
a. This permit does not obviate the need to obtain other Federal, State, or local authorizations
required by law.
b. This permit does not grant any property rights or exclusive privileges.
c. This permit does not authorize any Injury to the property or rights of others.
d. This permit does not authorize interference with any existing or proposed Federal projects.
2. Limits of Federal Liability. In issuing this permit, the Federal Government does not assume any liability
for the following:
a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted
activities or from natural causes.
b. Damages to the permitted project or uses thereof as a result of current or future activities undertaken
by or on behalf of the United States in the public interest.
c. Damages to persons, property, or to other per ed r " r caused by
the activity authorized by this permit. ti
d. Design or Construction deficiencies as cia np er d .
e. Damage claims associated with any future modification, suspension, or revocation of this
permit.
3. Reliance on Applicant's Data: The determination of this office that issuance of this permit is not
contrary to the public interest was made in reliance on the information you provided.
4. Reevaluation of Permit Decision: This office may reevaluate its decision on this permit at any time the
circumstances warrant Circumstances that could require a reevaluation include, but are not limited to,
the following:
a. You fail to comply with the terms and conditions of this permit
b. The information provided by you in support of your permit application proves to have been false,
incomplete, or inaccurate (see 3 above).
c. Significant new Information surfaces which this office did not consider in reaching the original
public interest decision.
5. Such a reevaluation may result in a determination that it is appropriate to use the suspension,
modification, and revocation procedures contained in 33 CFR 325.7 or enforcement procedures such as
those contained in 33 CFR 326.4 and 326.5. The referenced enforcement procedures provide for the
issuance of an administrative order requiring you comply with the terms and conditions of your permit and
for the initiation of legal action where appropriate. You will be required to pay for any corrective
measures ordered by this office, and if you fail to comply with such directive, this office may in certain
situations (such as those specified In 33 CER 209.170) accomplish the corrective measures by contract
or otherwise and bill you for the cost.
6. When the structures or work authorized by this permit are still in existence at the time the property is
transferred, the terms and conditions of this permit will continue to be binding on the new owner(s) of the
property. To validate the transfer of this permit and the associated liabilities associated with compliance
with its terms and conditions, have the transferee sign and date below.
(TRANSFEREE -SIGNATURE) (DATE)
(NAME -PRINTED)
(ADDRESS) �h:;7.� ,s y aa=-7 .:.p rr5 ny L Y
a� " .^t n `Ts� /�,
STANDARD MANATEE CONDITIONS FOR IN -WATER WORK
2011
The permittee shall comply with the following conditions intended to protect manatees from
direct project
effects:
a. All personnel associated with the project shall be instructed about the presence of
manatees and manatee speed zones, and the need to avoid collisions with and injury to
manatees. The permittee shall advise all construction personnel that there are civil and
criminal penalties for harming, harassing, or killing manatees which are protected under
the Marine Mammal Protection Act, the Endangered Species Act, and the Florida
Manatee Sanctuary Act.
b, All vessels associated with the construction project shall operate at "Idle Speed/No
Wake" at all times while in the immediate area and while in water where the draft of the
vessel provides less than a four -foot clearance from the bottom. All vessels will follow
routes of deep water whenever possible.
c. Siltation or turbidity barriers shall be made of material in which manatees cannot
become entangled, shall be properly secured, and shall be regularly monitored to avoid
manatee entanglement or entrapment. Barriers must not impede manatee movement.
d. All on -site project personnel are responsible for observing water -related activities for the
presence of manatee(s). All in -water operations, including vessels, must be shutdown if
a manatee(s) comes within 50 feet of the operation. Activities will not resume until the
manatee(s) has moved beyond the 50-foot radius of the project operation, or until 30
minutes elapses if the manatee(s) has not reappeared within 50 feet of the operation.
Animals must not be herded away or harassed into leaving.
e. Any collision with or injury to a manatee shall be reported immediately to the FWC
Hotline at 1-888- 404-3922. Collision and/or injury should also be reported to the U.S.
Fish and Wildlife Service in Jacksonville (1-904-731-3336) for north Florida or Vero
Beach (1-772-562-3909) for south F11L
C
irnperiledSpecies@m,YFWC.coim
f. Temporary signs concerning manatees shall be postedQrn duri ail water
project activities. All signs are to be removed by the permittee upon completion of the
project. Temporary signs that have already been approved for this use by the Florida
Fish and Wildlife Conservation Commission (FWC) must be used (see
MyFWC.com/manates). One sign which reads Caution. Boaters must be posted. A
second sign measuring at least 81/2" by 11" explaining the requirements for "Idle
Speed/No Wake" and the shut down of in -water operations must be posted in a location
Prominently visible to all personnel engaged in water -related activities. Questions
concerning these signs can be sent to the email address listed above.
ATFfz, (Ma A
A tt:
=1 E
.. ,
MOCz 11a
_M_1.
When a manatee is within So feet of work
all in -water activities must
RI,ie,,ipan-t a;ny Ca4HMmF',I , r hl"55'u'vy to 'a
:1.888-404-FWCC(3922)
* G-B11'ri
TED STA79S DEFARTMEl T OF CoAi5fERCE
Nationat Oceanic and A.tmospherk AdMIDWratiowt
national marine fisheries service
Southeast Regional Office
263 13th Avenue South
St. Petersburg, FL 35701
SEA TURTLE AND SMALLTOOTH SAWFISH CONSTRUCTION CONDITIONS
The permittee shall comply with the following protected species construction conditions:
a. The permittee shall instruct all personnel associated with the project of the potential presence of
these species and the need to avoid collisions with sea turtles and smalltooth sawfish. All
construction personnel are responsible for observing water -related activities for the presence of
these species.
b. The permittee shall advise all construction personnel that there are civil and criminal penalties for
harming, harassing, or killing sea turtles or smalltooth sawfish, which are protected under the
Endangered Species Act of 1973.
c. Siltation barriers shall be made of material in which a sea turtle or smalltooth sawfish cannot
become entangled, be properly secured, and be regularly monitored to avoid protected species
entrapment. Barriers may not block sea turtle or smallhooth sawfish entry to or exit from
designated critical habitat without prior agreement from the National Marine Fisheries Service's
Protected Resources Division, St. Petersburg, Florida.
d. All vessels associated with the constructionproject shall operate at "no wake/idle" speeds at all
times while in the construction area and while in water depths where the draft of the vessel
provides less than a four -foot clearance from the bottom. All vessels will preferentially follow
deep -water routes (e.g., marked channels) p e•
e. If a sea turtle or smalltooth sawfish is se o y
construction/dredging operation or vessel movement, all appropri a precautions s be
implemented to ensure its protection. These precautions shall include cessation of operation of
any moving equipment closer than 50 feet of a sea turtle or smalltooth sawfish. Operation of any
mechanical construction equipment shall cease immediately if a sea turtle or smalltooth sawfish is
seen within a 50-tt radius of the equipment. Activities may not resume until the protected species
has departed the project area of its own volition.
f. Any collision with and/or injury to a sea turtle or smalltooth sawfish shall be reported
immediately to the National Marine Fisheries Service's Protected Resources Division (727-824-
5312) and the local authorized sea turtle stranding/rescue organization.
g. Any special construction conditions, required of your specific project, outside these general
conditions, if applicable, will be addressed in the primary consultation.
Revised: March 23, 2006
O:\forms\Sea Turtle and Smalltooth Sawfish Construction Conditions.doc
10701 South Ocean Drive, ienser,�-wh, FL - croogle Maps Page I of I
RECEIVED
Address I o7ol 8 Ocean Dr
Jensen Beach, FL 34957
Get Gougle Maps an Your PhOm
!�ZW!466453
PPk Twt"wWd',GMAPrto46fi453 FL DEP
RT ST. WCIE
6;
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t� J "�_= �
-., �+
find
... �..
EXISTING
Waterbody:
Artificial canal off of the Indian River
Width: 100'+!-
3F
Existing
Steve Mazur
10701 S. Ocean Dr., Lot 660
Jensen Beach, FL 34957
5 king piles
3 batter piles
W-
Existing
Batter Pile (10' oC +1-)
(Angled 4.1+1-,
@ panel midpoint
3F
Seawall wren V
face is face
King Pile (10' oc+1
(Vert at panel seam)
Plan Mazur Proposed Seawall Wilco Construction, Inc. Datee4119112
Vie (772)460-6926; F(772)460®6929
HUM
1. Concreta to have a min. Compresatve Strength of
SM pal a 2lidays•
2. Install new concrete seavrall directly In front
of amstirjge•awetl, vrith]n V fsce to facts.
3. Pilings final hammer driven to a min. of S tons each
�� length.
4. Pilings to be 1Y'x1r' prestressed aoncn to up
#6 Bar
He
and
iks
#3 Ties
@2' O.C.
New Concrete Pane] �.
(0- thick x 1iY wide x 12' bng}.—_
King Pile12'Sd2' ��,�
Prestressed
(Vertical at panel seams)---
SadclIll Between
Existing Wall
& New Wall
Panels 057 Pea
rack
MOW M
Ldmnt
0"Concrete Pane
Min. 3+1-
for
eIS
P�
Mawr
Residence
10701 S. Ocean Dr; 6W
Jensen Set(ctt„FL 34957
-•,,.,_
5F
1,-
5 Reber
AL
ng Pib
el seam
icalj
5 PCs.
_
D
i {
PCs
#5 138r
4WW41- Concrete
Cep Cont.
-
c 4"+1-
atterP'de(engled4:1+1-
a:
ei)
MHw
r g
r!
cpRA SorrOM
50% min. —
penetration
for Pilings
e�
2'x12' Concrete Pilings
to face)
35'+/- New
Concrete Cap/Wal1
#3 Reber
lies
7 4C
Batter Pile
® panel midpoint
(angled 4.1+/-)
Expanded
3' ntaete
King Pile
min.
coverage To
8"+J—
1
�
3 rebar ties
14"
@z 0C
rJ ..
{
dowel with sid.
F;r :
hook ePM-
12'x12' King
set min. embedmr
Conc. Pil
W 2 pc. Per Pile
Ci�aWale Filter
Cloth along backaldo
of wag
King Pilau
panel soarer
(veetical)
Expanded
Batter Pile
note
Von
n+j Pcs.
— rf5 rcbar
rebes
ertl
14
�' oC
12'k12' Batter
Cone. Pile
Wilco Construction, Inc.
(772)460-6926; Fax (772)460-6929
5 dowel with st&
r hook aPOW
set min. embedmi
PM Per Pde
i�v�
4/21 /12
Oz-76- -- i
ST. LUCIE COUNTY BUILDING DIVISION
REVIEWED FOR CO-"'
REvIG '��((//
DATE • / ]�
1 PLANS AND PERMIT MUST BE ICEPT ON JOD
OR NO INSPECTION WILL BE MADE.
Waterbody:
Artificial canal off of the Indian River
j Width:1W+1-
Existing j_ Q
Seawall
Steve Mazur
10701 S. Ocea . 1 ., Lot 660
Jensen Bea ,7Z 34957
PROPOSED
5 king plies
3 batter plies Batter Pile (10' OC +1-)
(Angled 4:1+1-,
Q panel midpoint
Existing
AR�?'
a'� m nn
AV 1 G�
.r C
Plan Mazur Proposed Seawall
View
3V
Seawall Win V
face to face
King Pile (10' OC+1-)
(Vert at panel seam)
PAUL WELCH INC.
�h H-ELECT-CIVIL ENG /
196.4 SILTMORE ST. #114
PiT ST. LUCIE, FL 34984 _
PAIL WELCH, P.E. FLA REG NO 29945 1 Ad 15 72012
Wilco Construction, Inc. Date:4/19112
(772)460-6928; FAX(772)460.6929
Nam.
1. Concrefo to have a min. Compressive Strmoth of
MM psi ® 28 days.
2. Install new cwwraft aswrall directly In front
atbtlno seawall, within V line to fbca
3. Pilings flnel hammer driven to a min. of S tons each
4. Pilings lobe 131xir prestressed eonkaste up to 2t1' length.
rUftinn Hooks
tiff Bar 1' O.C.
HoAxrndal
and Vmficai
Mazur Reaidance
10701 S.
W4 Q
Cros
r
Section
2
03 Tea
Q7 O.0
New Ckmacte Panel
(8' thick x 10' wide x 17 tong
tang Pie 125c1T
pnsbeasad t.
1 (Verticel at panel NOW
Becidlll Between
Existing wag
& Now Wail
Panels (11w pea
rock
S
141n.3'+/- L�Ment
far eb
11'(few
to face)
0
+I
'�� ::�: • ;��,+, :ter
?a d
r. VA
Q 5 Reber
vp no pan 5 pcs.
panel seam
.{' (varticaq
II
r Residence
Pas
t!5 Bar 4Sk28'+/-
P0e (ended 4:1+/-
50% n*L
penetntlon
for pilings
35'+1- New
Concrew Cepfwal
Concrete Pilings
Qeotndlls Flllar
Cbthalong backside
Of wail
Expanded
King Pile
Moe mbar, ��
P-•
$ +/—
#5rebe,
14
3 rebar ties
dowel with sid.
hook epoxy-
12'x12'tang
ad min. embedrne
Cornea.
B' 2 po. Per pits
Expanded
Batter Pile
seta
ties
rew
14"# 0
rr�dowel with aid-
lk a
i2x12•Batler "' act min embed
Cone. f?0 _0.. 8' 2 pc. per pft
#3 Reba pl1i� PAUL WELCH MC.
Ties panel seem MCH-ELECT-CPAL ENG
r OC (verdeal) 1984 BILTn-URE ST- #114
t3eltar pile �ST. LUCIE
� panel midpoint Pam. �L(:H , FL 34884
(angled 4:1+f-) , P.E. FLA REG NO 29945
Wilco Construction, Inc. 4/21 /12
(772,)460-6928; Fax (772)460-6929 Scale:
Dim ,
l
g10" 17 �.
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue, Fort Pierce, FL 34982 - (772) 4.62-1553
Certification for Design Load Compliance
Project Name: MQZ u� 'S5/-\WAA..L.
Project Address: a ~%� `J OC 154-W t>0 ► LG-r 4 & a
Permit #: Occupancy Type: Construction Type:
INSTRUCTIONSEOR USE:
• This certification must be completed; signed, and sealed by the design professional of record.
Submit (2) copies for residential, (3) copies for commercial with all permit applications involving the following:.
o New Residences (single or multi -family)
o Residential Addition
o Any accessory structure requiring a building permit
o Any non-residential structure.
• Note: Form not required for interior renovations provided that no exterior structural elements are affected and
certain minor building permits at the discretion of the local building official. Contact the # above for questions.
DESIGN PARAM EET RS AND ASSMWPT10NS USED: (complete all that apply)
1. DESIGN CODE:. Florida r SCi Code 2010 Edition with 20 — Supplements using ASCE 7-10
2. Structure Designed as (check one): Enclosed Partially Enclosed Open
3. Risk Category: ZE ,I II III IV Exposure Category: B C X D
4. Design Wind Velocity 110 mph DASD fa XLRFD End Zone Width: --A,-,ft
S. Mean Roof Height ft Roof Pitch: 141k :12 Parapet: ft
6. Components & Cladding Design Pressures Used: (PSF, based on 10sgft @ 15'MRH, clearly label on all plan. openings):
_L�:Garage:__�___
Zone 1: � n'r' Zone 2: Zone 3: �' Ar " � Zone 4:-� �3 Zone 5: R�'S l� l�
7. Design Loads: Floor: 14P, PSF Roof/Dead: _PSF Roof/Live: 0/4* Balcony: NL/k PSF
f
Dock: 4_PSF Deck: _ _PSF Stairs: 01k PSF Fence: 43 P< PSF Railings: i-%P� PSF
S. , Were Shear Wails Considered For Structure? C Yes Not Applicable Explain Why Not:
9. Is A Continuous Load Path Provided? y C�Yes Not Applicable Explain Why Not:
10. Design Sall Bearing Pressure: 1&_PSF Soil Test s ub . ? Y
Q,,SIGN PROFESSIONI%L CE(tIPICATIO S �ME
I, certify.that, to the best of my knowledge and belief, the a ch eci n ePenYdigned to
comply with the applicable structural portions of the building codes currently adopted and enforced by St. Lucie
County. I also certify that structural elements depicted on these plans provide adequate resistance to, the design
forces specified:
Stgnatuce, date, anti Seal
SLCCDV Form # 02D.12 Revised 3j1SA2 (SS)
PA" VI �t.r u t +�: �
Print Name Cert # & Co. Cert Auth.
'PAd1. �� �t.►G, '
Palt.-t gaff • J-11" t L S411tidit -
Company dame & Address
DATE FILED zz
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SE
BUILDING & CODE REGULATIO S D 1� 'i�
O
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 JON 112012
772462-1553
Environmehtal Resources
®?�61�4/ APPLICATION for BUII�DING PEl�' Lucie County
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: OC-ey t, �y= o+ W
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: �{ SI (- ?05 - 6 b IDI — 6 6 0 - 7
4. LEGAL DESCRIPTION (attach extra sheets if necessary): V.Pm }:L&,X_ % vA _ to
5. PLAT BOOK 6. PAGE NO.
9. PARCEL SIZE ( ACRE /SQ FT.):
. b•04
7. BLOCK NO
LOT DRVIENSIONS:
8. LOT NO. 61
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: 3 $ " 1- uyi c trn k—
LAI 17�f e W-e- tz�[ C onleyi S+ h 4
11. SETBACKS (ACTUAL) FRONT: I J Q� BACK: RIGHT SIDE: A _ LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
r4 RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: 5 �� IE -Ca lM 1 IV
14.
16.
SQ. FT OF CONSTRUCTION: lV I A 15. SF. FT 1st FLOOR N k
hh 1
VALUE OF CONSTRUCTION: $
The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6125/09
OWNER INFORMATION
NAME: S�Pzx en I►`q lA�
ADDRESS: (0V S • OG� p r • , Lrat
6
CITY: STATE:
�L ZIP: . 34q5--A
PHONE (DAYTIME): (YU)
Email:
IF THE FEE smiLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER
ADDRESS:
CITY: STATE:
ZIP:
PHONE (DAYTIlVIE):
CONTRACTOR INFORMATION -7
ST. of FL REG.CERT #: C (rC.. S } 3 T
r
ST. LUCIE COUNTY CERT # L 113>
BUSINESS NAME: 1� i i C O CE YES �1rv�C.Ti t� ti
Inc .
QUALIFIERS NAME: Q. L% I l u ku �
ADDRESS: 44 775 a At, 1
CITY: FI- . P i -f-y e e. STATE:
/
FL ZIP:
PHONE (DAYME): E): (^^ (0 0 aK FAX NO.
Email:
ARCHIT/ENGINEER 7J �/J Z( Ck . 19L-
ADDRESS: �1"1 �� �; �4m om �'i) I VA
CITY: PO 1Ft- '9 . Lit c le STATE:
r ZIP: 3g�
PHONE (DAYTRvIE): C�D ?f
BONDING COMPANY:
ADDRESS:
CITY: STATE:
ZIP:
MORTGAGE LENDER
ADDRESS:
CITY: STATE:
21P:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS,. FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLO
COUNTY OF(0j
The foregoing instrument was acknowledged before
me this day of no# I20t,
by 9. )i% t1an%
who is personally known ✓ or has produced
Signature of Notary
Commission
identification.
DAWN FITZGERALD
MY COMMISSION 9 DD 944417
p RES: December 13, 2013
nd dThruNolayPublicUnderwriters
CONTRACTOR SIGNATURE
STATE OF FLOI '.
COUNTY OF �AJ.�.�S..jLSL,
The foregoing instrument was acknowledged before
me this CQI day of 201 ,
by . IeUU C,�►'Y�S
who is personally known V or has produced
of Notary
Commission No.
as identification.
DA" FITZGERALD
MY COMMISSION # DD 944417
EXHIRf S�ecember 13, 2013
Bootle ru laryPublIcUnderwriters
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
.M�Adk
OFFICE USE ONLY BP #: C7 2.7
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1sT FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
O
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
BRACT
FEE
SCHOOL
BRACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIItFAMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED.
r
INITIALS
V
l
06/19/2012 10:25AM 77254501E2 LINDEN MARINE PAGE 01/02
Jun. 13, 2012 3:08PM M 0
No. Oly6 �. 1
01/10/20AZ 16:49 FAI 7124000020 WILCO Won
P gbxir+ F=x(mmumm
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AY
Vmmm OUT stgr. LUCIE �j - ,Olkrz
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h�nn ttmet be abed � p� p�a11 d�adgg� Qrpfila� i�>� � � .
or g of aqv ama oawa� vow or a41► agar $� a�wmk
�y byd� , +ogt> a��aed[�r1a++ a�'ian�*cl eoebavar alati�pe
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and aka*► � wo ad = tom Rain wA Wotan
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diaeobamund oemm p laspertabae fob ad of and
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a •
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JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILL: It 3705908 OR BOOT )1 PAGE 1812, Recorded 05/21/2012 aW `'L:13 PM
Permit No.
NOTICE OF COMMENCEMENT
TaxFolloNo. `fV(469-'06171_000-:7
State of Florida County of St. Lucie -
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter713, Florida Statutes,
the following information is provided In this Notice of Commence\m'entt �+
4-dj`(jf\al—DDescription of Property: (af\d street address if available):
-V_ di � s• OLYPh__yr
General description of improvement: �S-Eti
Owner information or lessee Information if the Lessee contracted forthe improvement:
Name
Address
Interest in property: �1NY1.0 e
Name and address of fee simple titleholder (if different from Owner fisted above):
Contractor's Name:
Contractor Address:
Phone Number:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number
Lender Name: Phone Number.
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name:
Address:
Phone Number:
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.1311) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWN ER: ANY PAYMENTS MADE BY THE OWN ER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICEOFCOMMENCEMENT MUST BERECORDED AND POSTED ONTHEJOBSITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDNG YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
lynowle c and belief.
(Signattuyyre ��of��Owner or Lessee, or Dwn r r Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this dayof� , 20I�
By Stcy�, mo-zur as b1p Leo ✓ for St i
Nnnaaam'e of Persons Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
Personally known_ or produced ldentiffcation /� ,
(Signature of Notary Pu ic- State of Florida)
(Print, Type, or Stamp Commissioned Name Type,Of Identification produced Iva
�+�'�'�'•_ DAYgIFRZGERALD
• �•` MY CCMMISSIDNrDD9/441T
EXPIRES: December 13, 2013
ITN68d Ttru Notary Pub5c Cndamrifa s
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS iS TO CERTIFY THAT THIS ISA
TRUE AND CORRECT Copy OF THE
ORIGJNAL.
Imo, CLERK
Date:
Property Appraiser - St.Lucie C, . • , ,.y, FL
Page 1 of 1
PROPERTY RECORD CARD
Steven Mazur Record: 1 of 1
«Prev Next>y Spec.Assmnt Taxes Exemptions Permits Horne Print
Property Identification
CO
Site Address:
10701 S OCEAN DR
ParcellD:
4511-805-0061-000-7
y G
Sec/Town/Range:
11 :37S :41 E
Account #: 124455
Map ID:
45111G
Land Use:
City/Cnty:
Mob Homes
St Lucie County
•�
Zoning:
HIRD
Ownership and Mailing
Legal Description
Owner:
Steven Mazur
VENTURE OUT -SECTION C- LOT 61 (OR 3202-232)
Address:
10701 S Ocean Dr Lot 660
Jensen Beach
FL 34957-2632
Sales Information
Assessment 2011 Final Total Land and Building
Date
Price Code
Deed
Book/Page
2011 Final: 105800 Land Value: 90000 Acres: 0.04
5/25/2010
80000 0112
WD
3202 / 0232
Assessed: 105800 Building Value: 15800
4/12/2010
95000 0138
DE
3190 / 1802
Ag.Credit: 0 Finished Area: 726 SgFt
6/7/2006
280000 00
WD
2589 / 0757
Exempt: 105800
6/30/2005
240000 00
WD
2295 / 1055
Taxable: 0
4/1/1984
40000 00
CV
0429 / 0501
Taxes: 0
8/1/1981
37100 00
CV
0360 / 2213
11/1/1980
31100 00
CV
0343 / 1652
9/1/1980
26600 00
CV
0339 / 0999
12/1/1974
12000 00
CV
0235 / 0483
Exterior Features
View:
ExtType: MHH - MHH
Grade: PKMB - PKMB
StoryHght: 0010 -1 Story
Interior Features
BUILDING INFORMATION
RoofCover: -
YearBit: 1986
EffYrBlt: 1984
No.Units: 1
RoofStruct:
Frame:
PrimeWall: -
SecWall: -
BedRooms: 2
Electric:
PrmintWall: -
FullBath: 0
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/213ath: 0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%A/C: 100
%aHeated:
100
%Sprinkled: 0
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond.
YrBlt. No. Land Use
Type Measure Depth
1 0200-Mob Homes
164 -Site 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/paslc/prc.asp?prelid=451180500610007 5/21/2012